Dr Instagram…

With so much information out there on the Internet of a variety of quality, it can be hard to know where to look for credible and honest information. Social media is such a dominant presence on-line, that many doctors are using it to educate and update their followers about a wide range of topics.

I have been using Instagram for just over a year, and I’ve found it incredibly helpful to demonstrate and discuss all sorts of aspects of plastic surgery. These include how operations are done (with some actual video clips from the operating theatre), updates on the world of plastic surgery (as well as the latest news from conferences around the world) and educational pieces and photographs that I hope my followers find interesting!

My Instagram handle is @marcpacifico – why not have a look (and follow me!) to see the sort of content I post.

With such a fast paced and ever-moving world, I think Instagram provides an excellent platform for me to keep you informed and educated about my world of #plasticsurgery

If you have any questions or would like me to post on particular topics, please let me know, or message me directly on Instagram!

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My journey with Marc Pacifico and Purity Bridge

Having reduced my weight by 10 stone, I twice went abroad for body contouring surgery to the breasts, tummy and arms, which left me extremely unsatisfied with the results. I then proceeded to have multiple consultations with surgeons in the UK, none of whom filled me with much confidence.

1st December 2015

My first consultation with Marc Pacifico. At this appointment, my husband and I asked many questions and all were answered in detail and included us being shown pictures. He gave me a thorough examination and detailed what he thought would be best. Within the first few minutes, I felt at ease with him. My husband and I kept smiling at each other, as things seemed to be going very well. We left the clinic without any pressure to book, so that we could talk further. When we stepped outside, I smiled at my husband and stated that I think I’ve found my surgeon and he wholeheartedly agreed!

The following day, I received a surprise and very pleasant phone call from Mr Pacifico. He told me that he was calling to see how we felt about how things had gone. My exact words were ‘almost perfect, to make it perfect could I please call him Marc, as it’s less of a mouthful?’ He laughed, agreed and I asked to proceed with the surgery.

9th March 2016

OK, so here we go. Surgery number one consisted of a revision to my surgery abroad. Implant replacement, breast lift and arm lift. As you can see from the pictures, drastic difference with Marc’s results. He had proceeded with cautionary measures and not only met my expectations, but exceeded them. This was one of the most painful surgeries and an extremely difficult recovery, due to wearing arm compression garments and limitations to movement. I had several wound breakdowns on the breast and arms. Whilst this was very distressing, Marc and his team enabled me to cope with this, as they are always available, 24/7. Only a couple of days post-op, whilst at home, I made a call to the Nuffield hospital, as it was out of hours. I awaited a return call from them, and surprisingly received a calm, patient and very caring phone call from Marc himself. Throughout
this and all following procedures, any level of anxiety or uncertainty was always calmed and soothed by Marc’s expert handling of the situation. At this point, I should mention that we live approximately 2 hours drive away, adding yet another challenge regarding follow up appointments and additional consults in respect of the wound breakdowns. Thanks to the support from the clinic, my family and friends, I survived.

 

 

 

 

 

 

 

 

28th September 2016

Round two! Now this, as it turns out, was the easiest of all the ops. This one was to lift the skin to reduce the slack on my back, also known as a bra line lift. I was up and out of bed and moving virtually unassisted within a couple of hours. When Marc did his usual post-op visit to the room, he could see how well I was doing and, this time, pain-free and agreed that I could return home. Recovery was a piece of cake, no wound breakdown at all, enabling me to get ready for the next surgery.

 

 

 

 

 

 

 

18th January 2017

 

 

 

 

 

 

So, now for the big one! Lower body lift, including thigh lift.

As I had already had the tummy tuck done abroad and been left with dog ears and uneven scars, Marc proposed that he do a 270 degree incision, to encompass the unsightly scars and dog ears from the original tummy tuck. However, the rear section of the incision would incorporate a buttock lift, inclusive of a purse string technique to the buttock tissue. This enabled me to have some projection without implants or fat transfer. The thigh lift was an incision from the groin to just above the knee. Without a shadow of a doubt, this was the most difficult, lengthy recovery. From 24 hours bed rest post-op, to the sheer simple act of dressing and getting into a vehicle to travel home. Due to the stitches and the swelling, it proved virtually impossible to move. However, I did and got home safely.

As with other surgeries, this was not without post-op wound issues. One of the first and most common problems is fluid building up behind the scar, to which the body’s reaction is to find the weakest area to expel it from (the incision). This happened on the back of my right hip and opened to approximately 5cm diameter, which required daily visits from the district nurses to pack it. I also had an opening on the right thigh, not as big or deep, but still took several weeks to close. So, I must say that I also received great support from my GP and district nurses during all of my recoveries.

Now it must seem to you that I talk about this in a calm and controlled way. This has only been achieved by living through, experiencing and surviving the potential emotional rollercoaster, due to the immense level of support given by Marc and his amazing team. Although, let’s not forget the immense level of patience shown, albeit behind the gritted teeth, of my loving husband. I am still working on showing the appropriate amount of gratitude on a daily basis.

And finally…

27th September 2017

As Marc is a perfectionist and, after several post-op consults discussing results, we agreed that I would have multiple revisions to bring everything to a level of near perfection. This would include:

  • a minor scar revision to the left breast
  • an additional piece to be extracted from each rear section of the hips
  • a scar revision of the previous opening on the right hip
  • to extend the incision from the top of the thigh into the front of the groin and behind under the buttocks
  • to extend the bottom of the thigh incision to just below the knee

Recovery was far easier than the previous surgery, although not without post-op problems. These consisted of a small opening on the left hip and minor wound breakdowns on the knee area.

As with every single step of all the surgeries, I have kept a photographic log of all positive and negative images. This has enabled me to supply Marc, upon his request, pictures for him to assess and advise. This was extremely helpful considering the geographical obstacles.

To summarise, Marc always insisted on multiple follow-up appointments after each procedure, and continually kept in touch as things went along, never feeling restricted on the amount of time he had for me. In point, on more than one occasion, Marc called me without me asking. These were as a result of my contacting the Nuffield hospital, as it was out of hours. On one occasion, he even called me from a conference abroad, an award ceremony (where he picked up a well-deserved award for his clinic) and, if that wasn’t enough, he even called me when on his family holiday!

The best piece of advice I could give anybody considering cosmetic procedures would be to do as much research as possible, sit down with Marc, explain everything that you want to achieve and then listen to his advice. I am eternally grateful that I chose Marc and his team to help me through this journey. I truly believe that I would not be anywhere near as happy as I am today, having gone through so very much, had I not walked into his clinic that day.

 

 

 

 

 

The central piece of the tattoo covers the remainder of the unsightly tummy tuck scar left behind from the surgery abroad!

To bookend this story and to give you a true persective, here is me before any cosmetic body contouring surgeries.

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A personal experience of a local anaesthetic facelift

I am indebted to one of my patients who recently sent me an honest and personal account of her experience of a local anaesthetic MACS facelift…

My 50th birthday didn’t upset me as much as I thought it would. I looked reasonably good for my age, and as people usually thought me as being younger than I was, I didn’t mentally go into rapid decline.

However when I looked in the mirror I was increasingly finding myself pulling back my skin to soften my jowls and what were becoming rather loose cheeks, to unveil the younger me that was hiding underneath. Despite looking OK for my age, I had to admit the ‘younger me’ did look a lot better.

I had previously tried various aesthetic procedures including the Thread Lift (which I thought was a total waste of money) and the One Stitch Lift, which whilst it did achieve the lift I wanted, only lasted about nine months. A few months after the Thread Lift realising how much I had spent on what turned out to be temporary fixes, I took the plunge and opted for the longer lasting, slightly more invasive MACS Lift.

If the thought of undergoing surgery whilst awake makes you squeamish then this is not the right option for you. Whilst there is very little discomfort throughout the two or so hours it takes to perform the procedure, you are conscious of what is happening – or what you imagine is happening, taking place very close to your ears. And being so close to your ears, you of course hear it too.

 

The actual procedure:

After meeting the team supporting the surgeon, you lay flat but with your head elevated slightly.

Injections are made firstly to one side of the head around the ear area where the first half of the procedure will take place. The injections are by far the most uncomfortable part of the whole two or so hours.

The actual work being undertaken around the ear can only be imagined as there is no feeling whatsoever in this area. You can hear ‘things’ happening – you can quietly hear the scalpel cutting – but this is over so quickly. You also feel a slight ‘pulling’ to the sides of the face, but again this is not uncomfortable. On no occasion did I feel the sutures (stitches) taking place.

I happily chatted to everyone in the room whilst having a MACS lift which helped to pass the time. When it was over, the most discomfort I had was in my back for lying so long in the same position.

One of the nurses offered me a cup of tea and a muffin. The tea was most welcomed but whilst I would have liked a bite of the muffin my jaw was far too tight and uncomfortable to open. I sucked on a bit instead. Be aware that you will struggle with eating anything that requires you to break the food up before swallowing for about three days.

I got dressed, put some mascara and lipstick on and tidied my hair. I was soon ready for the taxi that was waiting for me. At this stage there is no bruising so the driver didn’t raise an eyebrow when I climbed in to return home to my mother who stayed with me that night. To this day she doesn’t know what I had done but comments I look so well.

As I said at the start of this, if you are at all squeamish with a vivid imagination then having a procedure like this under local anaesthetic is not the right thing for you. If however you know what to expect – and I hope this has helped you – then I truly believe once you look in the mirror after the surgery, revealing the face you thought you wouldn’t see again, not only will you be delighted you made the decision, you will have forgotten what all the fuss was about.

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My Facelift Diary

I am extremely grateful to this patient for sharing her experience on my website – I hope that other patients considering a facelift find it reassuring and helpful.

I had been unhappy with my appearance for a couple of years.  Having realised the big 60 was on the horizon I had done all I could to stay fit.  I went to the gym regularly, only drank alcohol at weekends, watched what I ate.. but no matter what I did my face let me down.  I felt young inside yet I had the turkey wattle look of a woman much older than me.  I do a lot of amateur dramatics and it was beginning to upset me to see the photos that were inevitably taken – profiles were the worst!

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Pre-op photo – front

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Pre-op photo – side

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Pre-op photo – neck

It was obvious that the only way I could “dewattle” is with surgery. I didn’t want a full face lift – I was quite comfortable with my older dumpy looks – but I did want to have a proper neck and jaw again! I started to investigate options. There are a lot of “pile em high and sell em cheap” options on the internet. People who promised the earth for a small price. However there are also lots of horror stories of what can go wrong. If I was going to do this I was going to use someone local with a good track record and who I felt I could trust.

My husband was very supportive and we found ourselves one night in July 2012 at the Spa Hotel, Tunbridge Wells at a free open evening to meet with a surgeon and ask questions.

Mr Pacifico was extremely professional. He answered all our questions and gave us lots of literature to take away. He said he believed I was a candidate for a neck and lower face lift but wanted to ensure I knew what I was letting myself in for.

After a lot of deliberation (and a formal quotation) I decided to go for it! Mr Pacifico said winter was a good time and I should expect to be out of circulation for about two weeks. We fixed on 4th February 2013 – lots of time to prepare and ensure I wanted to go ahead. I had two consultations with Mr Pacifico prior to my arrival at the Spire Hospital so I knew exactly what I was letting myself in for.

I checked in to the hospital at 12pm having not had anything to eat or drink since 6am. I was shown to my private room and within half an hour Mr Pacifico was there to answer any questions and to draw in indelible ink on my face! He had warned me not to wear any makeup or put on any face cream that morning to ensure the pen marks didn’t rub off! He also assured me that the lines he drew on my face were guide lines and not where he was going to cut me!!

At 2pm I was in a gown (and pure cotton knickers – best place to get them is Marks and Spencers!) ready for the off. I was taken to the theatre on my bed where the anaesthetist checked my name and then fixed a needle thing into the back of each of my hands. One was used for the anaesthetic and that is the last I knew until I came round back in the ward. I felt a little woozy and was hooked up to oxygen and drips. The nurses were surprised to see that I was not swathed in bandages – just two drains coming out of the back of my head, one behind each ear. I felt a little tight around the ears but no pain whatsoever. During the night I did have a little discomfort but a nurse immediately gave me some morphine and I was back in my lovely comfortable woozy world.

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Appearance of drains under skin

Very early in the morning Mr Pacifico arrived to see me and produced the all important mirror. I could not believe it when I saw myself – as I used to be – the face that I thought had gone forever – looking back at me! I had a neck and cheekbones again! Okay I did have a slightly chipmonk look because of the swelling round my ears and sides of my neck but even with those the difference was startling. It was decided best for me to stay in for another night just to recuperate – and that was the best decision as I made enormous progress within that additional 24 hours.

The only discomfort was when breakfast arrived and I realised that when Mr Pacifico had said eating may be a little difficult at first he had meant – stay on mush and no chewing until the tubes are taken out of your head! I had ordered toast but as I had drains in every mouthful made me sore. It was odd that the only pain I ever felt was self-inflicted and I would recommend porridge and yoghurt for your first meal after the op! I changed my menus to mash, fish, cottage pie etc. for the rest of the day and was fine.

The only fun was the ink on my face – it really was indelible! In the end I found that a good lashing of face cream left on for ten minutes did the trick!

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Day after surgery with drains

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Day after surgery

The following morning I saw Mr Pacifico for a final check before leaving. He booked an appointment for me to come back a week later to have the stitches out. My husband came to pick me up and could not believe it. I had washed my hair, put on my makeup, was pain free and had the biggest smile on my face he has seen for a long time – and the years had rolled away. Absolutely no regrets!

The first night at home was a little uncomfortable as the only sore places were the sides of the head where the drains had been and it was hard to avoid laying on them. A big pillow helped. Apart from that by the second night all was well and I cannot even feel any tightness any more. There is still a little chipmunk swelling around my neck and obviously there are still stitches to come out – but considering it is only Friday and I didn’t have the op until late Monday – I cannot believe what a speedy recovery I have had.

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Home – two days later

I knew I was going to be okay when one of the nurses in the hospital said to me “If I was going to have cosmetic surgery I would opt for Mr Pacifico as he is a real artist and always ensures he has good results”.

I cannot agree more!

Three weeks later:

Last stitches come out later today (the ones behind the ears).
Swelling has all gone and I still feel amazing.

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Some tips:

I didn’t tell anyone except close family what I was doing. Mr Pacifico had promised a natural look and he was right. He said people would notice you look better but wouldn’t know why. I had just been tested for varifocal glasses. I went back to work one week after the op and made a point of wearing them for the first time. Everyone said I should have worn glasses earlier as they made me look so much younger! It is worth thinking of a change of hairstyle or something that will give people something to focus on – it worked 100%

I bought and used tea tree shampoo and conditioner from the op up until now – and will continue to use it until the stitches are all out and healed. Definitely good to have a medicated shampoo to cut down on infection risks.

Apart from that just enjoy!!!!!

JD – East Sussex

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My Breast Reduction Diary: a personal account

I’ve been thinking about a breast reduction from the age of sixteen. Having been told that breast feeding might not be an option, I waited. Now thirty five, three kids later, backache, granny bra grooves in my shoulders, sweaty rashes in summer and all the lovely dresses I long for designed for smaller boobs, the time has come.

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I’ve always been very frank about my problem and a friend told me about an open evening to discuss various surgical procedures. I was nervous and glad to have her with me, but was made to feel welcome anyway, with drinks, nibbles and a reassuring chat with Marc Pacifico before his talk. It was an informative evening

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Diary of a breast reduction progress

As a patient undergoing a procedure for the first time, it can be very daunting, especially if you don’t have any friends who have had something done who can be there to reassure you. This fear of the unknown is normal, so the more information about what is going to happen, the better. I have been very lucky to have a patient agree to write a real-time diary of her experience of the journey from first consultation onwards. In her case, it was for a breast reduction, but her thoughts, worries and experience can apply to many other procedures. She is in the process of writing it up and I hope to be able to put it on the website at the end of January, when she will be around 2-months post-op.

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